RN Comprehensive Online Practice 2019 B with NGN | Nurselytic

Questions 179

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RN Comprehensive Online Practice 2019 B with NGN Questions

Question 1 of 5

A nurse is teaching a client who has a new prescription for metformin extended-release tablets. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Extended-release metformin must not be crushed to ensure proper drug release, per administration guidelines.

Question 2 of 5

A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make?

Correct Answer: D

Rationale:
Correct
Answer: D - "I will be checking you once with your eyes open and once with them closed."


Rationale: The Romberg test assesses a person's ability to maintain balance with eyes open and closed, evaluating proprioception. This statement informs the client about the procedure accurately.

Summary:
A: Incorrect - Feet should be together, not apart.
B: Incorrect - Hands should be at the sides, not on hips.
C: Incorrect - The nurse should be close to the client for safety.

Question 3 of 5

A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct action the nurse should take first is to evacuate clients from the area (
Choice
C). This is because ensuring the safety of the clients is the top priority in any emergency situation. Evacuating them from the area where smoke is coming from can prevent potential harm or injury. Activating the fire alarm system (
Choice
A) can alert others, but without evacuating clients, they may still be at risk. Obtaining and using a fire extinguisher (
Choice
B) can be considered once clients are safely evacuated. Closing the doors and windows (
Choice
D) may help contain the smoke, but it is not as immediate and crucial as evacuating clients.

Question 4 of 5

A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?

Correct Answer: B

Rationale: Blood pressure measurement on an arm with a PICC line risks catheter damage, so the left arm is used.

Question 5 of 5

A case manager is performing a home visit for a client following a stroke. The client's partner is providing care in the home. The client's partner states that she sometimes feels exhausted. Which of the following referrals should the case manager recommend for the caregiver?

Correct Answer: B

Rationale: The correct answer is B: Respite care. Respite care provides temporary relief to caregivers, allowing them to take a break from their caregiving responsibilities and prevent burnout. This is essential for the client's partner who is feeling exhausted. Assisted living (
A) is not necessary as the partner is providing care in the client's home. Rehabilitation services (
C) are for the client, not the caregiver. Skilled nursing facility (
D) is not appropriate as the client's partner is not in need of skilled nursing care.

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